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1275583874
FARISA SURATTANONT MULVEY
PROVIDENCE, RI
NPI
1275583874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: RI 2834)
Enumeration Date
2006-05-12
Last Update Date
2007-07-09
Business Address
Dr. FARISA SURATTANONT MULVEY D.D.S.
148 WATERMAN ST
PROVIDENCE, RI 02906-2130
Phone number: 401-272-3443
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Mailing Address
Dr. FARISA SURATTANONT MULVEY D.D.S.
148 WATERMAN ST P.O. BOX 2608
PROVIDENCE, RI 02906-2130
Phone number: 401-272-3443
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